NPI 1538651112

Legacy Advanced Health LLC

Organisation General Practice Physician Coral Springs, FL

Practice location

Address: 1515 N University Dr STE 120, Coral Springs, FL 33071-6084
Phone: (954) 999-4881
Fax: (772) 303-3476
Mailing address: 15084 Wildwood Cir, Westlake, FL 33470-5435

Authorised official

Name: Pamela Manning
Title: Agnp
Phone: (954) 999-4881

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

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Registry record

NPI: 1538651112
Entity type: Organization
NPI issued: 31 May 2018
Record last updated: 26 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.